Organization
EAST TEXAS BORDER HEALTH CLINIC
Active
Organization
EAST TEXAS BORDER HEALTH CLINIC
Active
Parent organization
EAST TEXAS BORDER HEALTH CLINIC
Other names
Glenwood Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST TEXAS BORDER HEALTH CLINIC
Authorized official
CARLA ROADCAP (CEO)
(903) 927-3782
Entity
Organization
Contact information
Practice address
1400 COLLEGE DR, TEXARKANA, TX 75503-3536
(903) 792-8296
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-1764
(903) 927-1764
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
08/28/2023
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